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City of Mounds View,MN <br /> Development Application <br /> Page 2 <br /> • <br /> Property Classification o Abstract a Torrens <br /> Description of Proposal A was <br /> 0,A. 4hei lVi OuG` c r J/rlcc 1 pr opo-- .I ou r goal <br /> is +0 ►Y1aL' LW =l rielZr 104 61t.i16'ethle ON c Ci6Ve/1; .: In arder 4t)(10 tis <br /> ed �aitZ,5 «/ ayG�P r;, a �, t �ccvere(lTito .5ol1- corrP �nw a . <br /> Com pOZ`iiolti' ryf (-17-, z. <br /> Pa_ e 1)0 LI sc . <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> TO WLEDGE,THE INFO_RMA TION PROVIDED IS TRUE <br /> AND ACCURATE. <br /> Signature of Applicant / <br /> Name of Applicant(typed/printed) S A e �lt <br /> Signature of Property Owner <br /> 027 � <br /> Name of Property Owner(typed/printed) S i<'!ey-k-r eu`-E (exewf .- L , <br /> FOR OFFICE USE ONLY <br /> Date of Submittal /,�_5 -9 7 <br /> Date ofAcceptancr <br /> Planning Case No. c/l- a-) 60-day Limit Assigned to: <br /> ertvi QU.3 120-day limit <br /> Fees Paid: Account# Check <br /> Application: SD'vo <br /> Park Dedication: �>�— -7'"" <br /> Deposits: <br /> C.`.OFFICRWPWL t1WPDOCS gORMsEVAPP.FOR <br /> 1/97 <br />